38Q-14554-05077
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 547 / WI
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Pain where shot was given only hurts today when press on it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms are for late Monday night and Tuesday as I miss that check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Pain in right leg. Sometimes hurts to walkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Gait disturbance, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Leg pain. Hard to walk on at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Right leg pain off and onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 7, dose 2MedDRA: Arthralgia, Groin pain, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Right leg pain from groin to knee sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache on right side of head in the eye area. I dont get headaches. But the pain isnt constant and I believe it maybe over with now. I had it last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain where shot was given only hurts today when press on it.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): These symptoms are for late Monday night and Tuesday as I miss that check in.
Systemic reaction (other): Pain in right leg. Sometimes hurts to walk
Systemic reaction (other): Leg pain. Hard to walk on at times.
Systemic reaction (other): Right leg pain off and on
Release 5 — day 7, dose 2
Systemic reaction (other): Right leg pain from groin to knee sometimes
Release 7 — day 42, dose 2
Symptoms: Headache on right side of head in the eye area. I dont get headaches. But the pain isnt constant and I believe it maybe over with now. I had it last week.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Groin pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release